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ANDREW MARK JOHANSSON PA-C
NPI 1417189473
Physician Assistant in Newport News, VA

Active since August 10, 2009PECOS EnrolledAccepts Medicare Assignment
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606(757) 873-1554(757) 873-3239 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Apr 15, 2021 (2 updates tracked since 2021).

About Andrew Mark Johansson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW MARK JOHANSSON PA-C (NPI 1417189473) is an individual physician assistant in Newport News, Virginia, licensed in Virginia (0110003089) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yorktown, and is a graduate of Eastern Virginia Medical School (2009).

NPPES Registry Identity

NPI1417189473
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW MARK JOHANSSONCredential: PA-C
Location Address730 THIMBLE SHOALS BLVD, SUITE 130Newport News, VA 23606-4562
Mailing Address730 Thimble Shoals Blvd, Suite 130Newport News, VA 23606-4562 · (757) 873-1554
Phone(757) 873-1554
Fax(757) 873-3239
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2009
Enumeration DateAugust 10, 2009
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1417189473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110003089
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
730 THIMBLE SHOALS BLVD, Newport News, VA 23606
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Secondary Practice Location 1

Location 14030 George Washington Mem Hwy Ste BYorktown, VA 23692-2619 · Phone (757) 873-1554 · Fax (757) 873-3239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Mark Johansson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204981350
PECOS Enrollment IDI20090826000266
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services83 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%248 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%275 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers51 claims102 services$61.46 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier50 claims300 services$25.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN HINDMAN PA-C
Physician Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554
DANIEL RAYMOND CAVAZOS MD
Orthopaedic Surgery
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554
HOLLIE RACZ PTA
Physical Therapy Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554
WILLIAM FARLEY POWERS III PT
Physical Therapist
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1557
WALK IN MEDICAL CENTER OF OYSTER POINT
Family Medicine
730 THIMBLE SHOALS BLVD, SUITE 110
NEWPORT NEWS, VA 23606
Newport News City (757) 223-5700
MRS. LAURA MCCURRY LOWE CFA
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554
MS. REVA COE PTA
Physical Therapy Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554
MRS. GENEVIEVE BUTLER THOMAS PA-C
Physician Assistant
730 THIMBLE SHOALS BLVD, SUITE 130
NEWPORT NEWS, VA 23606
Newport News City (757) 873-1554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Johansson's NPI number?

The NPI number for Andrew Johansson is 1417189473. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Andrew Johansson located?

Andrew Johansson practices at 730 Thimble Shoals Blvd Suite 130, Newport News, VA 23606. The listed phone number is (757) 873-1554.

What is Andrew Johansson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Johansson enrolled in Medicare?

Yes. Andrew Johansson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Johansson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.